Provider Demographics
NPI:1184235160
Name:LIGAY, OKSANA A
Entity type:Individual
Prefix:
First Name:OKSANA
Middle Name:A
Last Name:LIGAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:OKSANA
Other - Middle Name:A
Other - Last Name:GRECHKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, APRN, FNP-C
Mailing Address - Street 1:844 N RAINBOW BLVD # 220
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-1103
Mailing Address - Country:US
Mailing Address - Phone:818-373-9273
Mailing Address - Fax:
Practice Address - Street 1:844 N RAINBOW BLVD # 220
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-1103
Practice Address - Country:US
Practice Address - Phone:818-373-9273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV832361363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily